Organization
NORTH ROANOKE REHAB MED PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AE-SIK KIM (PRESIDENT)
(540) 265-6710
Entity
Organization
Contact information
Practice address
5720 WILLIAMSON RD, SUITE 107, ROANOKE, VA 24012-1225
(540) 265-6710
(540) 265-6712
Mailing address
PO BOX 4127, ROANOKE, VA 24015-0127
(540) 344-9781
(540) 344-7154
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
10/03/2007
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